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Dermal Piercings - Procedure, Precautions, and Risks

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Dermal piercing is a piercing where only one hole is made in the skin without an exit point. Read the article to know more in detail.

Written by

Dr. Saima Yunus

Medically reviewed by

Dr. Suvash Sahu

Published At June 19, 2023
Reviewed AtJune 19, 2023

What Is Dermal Piercing?

Dermal piercing can often be confused with surface piercing. However, in surface piercing, the hole is punctured and has an entry and exit point through which the needle can pass. Dermal piercings are single-point or micro-dermal piercings that lie flat on the skin's surface. Dermal piercings do not have a separate entry or exit point. It involves a single-point piercing that is held or anchored tightly to the surface of the skin with a flat piece of jewelry or gemstone on top. Mostly dermal piercings are made under the eyes or on the collar bones, arms, back dimples, or chest.

What Is the Procedure Involved in Dermal Piercing?

Dermal piercing involves a simple procedure. First, the skin is cleaned or sterilized to avoid any infection. Then a small mark is drawn to indicate the position of the jewelry. Then the skin is punctured with a needle or skin puncture to create an empty space or a pocket of 1.5 to 2 millimeters to hold the metal or the jewelry. The anchor of the jewelry is then inserted into the small opening by hand or with a pair of forceps until it is completely embedded under the skin. After this, the top or decorative part of the jewelry is screwed or placed on the anchor. The entire process usually takes a few minutes.

What Are the Common Areas on the Body for Dermal Piercings?

The best feature of dermal piercings is their ability to be placed anywhere flat on the body. The following are the most popular areas for dermal piercing.

  • Chest.

  • Lower back.

  • Forearm.

  • Thighs.

  • Cheekbones.

  • Back of the neck.

  • Dimples.

  • Hand.

What Kind of Pain Is Experienced During Dermal Piercings?

Some pain is experienced during dermal piercings. A certain amount of discomfort or a pinch-like feeling occurs during dermal piercings. Dermal piercings might feel like pressure.

The intensity of pain might differ in different individuals and mostly the pain is bearable.

What Precautions Must Be Taken During Dermal Piercing?

It is important to choose the right spot for dermal piercing. The following elements must be kept in mind while choosing the site of the piercing:

  • Nerve placement.

  • Thickness of skin.

  • Proximity to veins.

What Are the Risks Associated With Dermal Piercing?

The side effects of dermal piercing include:

  • Infection: The new piercing can become infected if the healing process is not handled properly. Signs of infection include severe pain, severe swelling, warm skin around the piercing site, yellow or green pus, a rash, or a bad-smelling odor. Usually, the jewelry becomes displaced or detached completely from its anchor. In such cases, the individual must consult the doctor immediately to ensure the infection does not become worse.

  • Tissue Damage: The primary major risk involves tissue damage, which can be caused by the improper installation of the jewelry. If the piercing is too deep in the skin, a dermal piercing may become embedded or ultimately rejected by the tissues. On the contrary, a shallow piercing may be displaced easily.

  • Hypergranulation: Another risk associated with dermal piercing is hyper granulation. It leads to the formation of a red bump around the piercing site that develops due to too much pressure on the site. The pressure is usually caused by the jewelry and tight non-breathable clothes.

  • Scarring: Scarring can take place if the person plays with or removes jewelry during the healing process.

To avoid these risks and to ensure nothing goes wrong during healing the individual must follow the directions and keep the wound clean. The dermal piercing must be done by a certified professional.

What Type of Jewelry Is Used for Dermal Piercings?

The dermal piercings require various components to ensure that they are properly applied to the skin. The dermal jewelry is composed of the following parts:

  • Dermal Anchor: The first major part is the dermal anchor. It is made up of a flat-footed and rounded-base variety. Both of these varieties can be used. However, a flat-footed anchor is used more frequently and more widely accepted because the foot is placed at an angle. This helps to keep the jewelry embedded and reduces its chances of coming out as compared to the rounded base.

  • Diver: Sometimes, a dermal piercing is available with a diver, a pointed-end base with preset jewelry. It is inserted by punching it under the surface of the skin, instead of a needle, and it cannot be replaced after insertion.

  • Dermal Top: The dermal top is the actual jewelry that is screwed onto the top of the anchor. It can be removed and interchanged with different jewelry. However, the replacement of dermal tops is generally done by a professional. The dermal tops are available in the form of magnetic or screw-on types. The magnetic ones can be changed easily by the wearer and do not require a visit to a piercing shop for changing the jewelry.

  • Barbell: It is more commonly used for surface piercing than dermal piercing. A barbell is used as an entry and exit point that is present on the surface of the skin. It is inserted by pinching the skin followed by piercing.

What Material Is Used for Dermal Piercing Jewelry?

The following metals are most commonly used for dermal piercings:

  • Titanium or anodized titanium.

  • Implant-grade stainless steel.

  • Niobium.

The most commonly recommended and frequently used metal for any body jewelry is implant-grade stainless steel. However, it might cause irritation to individuals with highly sensitive skin. In such cases, Titanium and anodized titanium is the safest option as their chances of causing irritation are very less. Niobium, on the other hand, is used less frequently and only because of its lightweight.

Conclusion:

The nature of dermal piercings is that the individual can imagine where the piercing can be made and how it will appear. There is no distinct point of entry or exit for dermal piercings. A flat piece of jewelry or gemstone is placed on top of a single-point piercing to hold it firmly to the skin's surface. Dermal piercings can be used to highlight a tattoo or a facial feature. It can also be worn as a piece of permanent jewelry on the wrist or the neck.

Frequently Asked Questions

1.

Is Dermal Piercing So Painful?

Dermal piercing, also called single-point piercing or transdermal implant, is a type of piercing that lies flattened on the skin's surface. The dermal piercings usually feel like a certain pressure. However, the piercing experience differs from individual to individual. People usually report that dermal piercing is better than expected.

2.

What Is the Dermal Piercing For?

Dermal piercing, transdermal implant, or micro dermal implant is a type of human body modification generally done on cosmetic (esthetic) and medical concerns. So, it provides an esthetic enhancement with fewer complications associated with the surgery. Here, an object is implanted partially below or above the skin tissue. The skin tissue will eventually heal after piercing.

3.

Is Dermal Piercing Considered a Good Decision?

Dermal piercing is a form of human body modification or esthetic enhancement. This is considered a good idea for cosmetic and certain medical concerns. However, it is quite challenging to clean, change, and care for the piercings. Instead of piercing through the skin tissue, dermal piercing is embedded or implanted in the dermis layer of the skin where an anchor is used to keep them in place. Moreover, this type of piercing can get pulled or snagged.

4.

What Is Meant by Butterfly Kiss Piercing?

Butterfly kiss piercing is a dermal piercing usually done for body modification or esthetician enhancement. Butterfly kiss piercing is known as crow’s feet, teardrop piercings, and anti-eyebrow piercings. Here, the piercing is placed or implanted above the cheekbone while just below the lower part of the eye.

5.

Which Is the Most Painful Type of Piercing?

The most painful form of piercing includes the following.


- Genital piercing can be painful since the genitals are the most sensitive and nerve-dense area on the body.


- Nipple piercing pain can be high because this is the second-most sensitive area.


- Nose-piercing pain can be a concern.


- Dermal piercing pain.

6.

How Long Does Dermal Piercing Last?

Dermal piercing is generally done with a single-point anchor against the skin surface. The piercing is hanging on the skin. People consider this type of body modification for esthetician or cosmetic concerns. The microdermal piercings would last for about five years. But it depends on how one takes care of the piercings.

7.

Will Dermal Piercing Ever Completely Heal?

Dermal piercing is any form of piercing that has a single entry or is done against the skin. Hence, dermal piercing is often called single-point piercings. Dermal piercings or transdermal implants will heal eventually after piercing. It will take one to three months to heal completely after dermal piercing. Nevertheless, the accurate length of healing time depends on how one takes care of the piercing.

8.

Will Dermal Piercing Leave a Scar or Hole?

Dermal piercings, also called single-point piercings or micro dermal piercings, are those piercings that are implanted flat against the skin surface. This gives a completely flat effect. This is because dermal piercings never have distinct entry and exit holes. Dermal piercing is generally done by installing an anchor underneath the skin.

9.

Will the Removal of the Dermal Piercing Leave a Scar?

Dermal piercing is usually performed in both esthetic and medical contexts. It contains an anchor that is installed through the skin. These piercings are commonly removed in the emergency medical department through non-serrated hemostats. Healthcare professionals use this hemostat rockingly to pull the anchor through the skin.

10.

Is It Very Painful to Remove the Dermal Piercing?

Dermal piercing has a single entry. Here, an anchor is installed through the skin for support. Dermal piercings are removed in the emergency medical department with the help of a certain instrument. People feel very mild discomfort as the removal of dermal piercing is done with the local anesthetic agent and tiny needle-like instrument.

11.

Will Dermal Piercings Fall Out?

Though microdermal piercings have a mean lifespan of about five years, the real and accurate timeline still needs to be determined. It is known that the skin tissue against which the piercing is placed would eventually grow, pushing the anchor up toward the surface. This might result in falling out of the dermal piercing.

12.

Is Dermal Piercing Permanent?

Dermal piercings might be rejected easily in association with its anchor. The anchor is the implanted thing that provides support for the piercing. In some people, dermal piercings would last only for a year, but they can last for several years when appropriate care is provided. So, a dermal piercing is not permanent. The skin tissue would grow later, pushing the anchor up.

13.

What Are Considered the Riskiest Piercings?

The dangerous and riskiest piercings are those piercings that involve the cartilage tissues. The most common riskier cartilage-involving piercings include higher ear piercings. Moreover, such piercings can yield poor healing and response due to restricted blood circulation in that area. Other unsafe and riskiest piercings include:


- Oral piercings.


- Genital piercings.


- Nipple piercing.

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Dr. Suvash Sahu
Dr. Suvash Sahu

Dermatology

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